Alysaa M Hyde

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4435 24TH Ave
Fort Gratiot, MI 48059-3810

Phone

(810) 479-9375

Fax

(734) 822-0237

NPI assigned

Aug 14, 2024

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 14, 2024.

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1922830587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 24TH AVE",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480593810",
            "telephone_number": "810-479-9375",
            "fax_number": "734-822-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 24TH AVE",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480593810",
            "telephone_number": "810-479-9375",
            "fax_number": "734-822-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDE",
        "first_name": "ALYSAA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary T Hughes, DPM
• Katelyn Hunger
• Ryan Hunt
• Syed Akhyar Hussain, PHARMD
• Rileigh Hutchins
• Fahim K Ibrahim, MD
• Molly Ann Ide
• Faith Ignasiak
• Innovative Housing
• Innovative Housing Development Corp

• All providers in Fort Gratiot, MI
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.